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Improving Communication, Collaboration, and Faculty Comfort in Communicating Difficult News in the Pediatric
Bernadette L Koch1, Dianne Hater1, Katherine Nees2
11 Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229-3039.
Insights
The Difficult News Program enhances communication for pediatric radiology diagnoses. This program optimizes the patient and family experience by defining roles for timely and compassionate information sharing.
Area of Science:
- Pediatric Radiology
- Medical Communication
- Patient Experience
Background:
- Pediatric radiologists often deliver unexpected diagnoses without prior patient/family relationships.
- Current communication practices for significant pediatric imaging findings can be inconsistent.
- Life-changing events necessitate improved communication strategies in pediatric care.
Purpose of the Study:
- To develop and implement a structured program for communicating difficult news in pediatric radiology.
- To enhance the effectiveness of delivering unexpected or significant diagnoses to families.
- To standardize the process of handling critical findings in pediatric imaging.
Main Methods:
- Development of the Difficult News Program.
- Defining and coordinating roles for radiology staff and support personnel.
- Implementing a structured communication protocol for sensitive diagnoses.
Main Results:
- Improved communication between radiology staff, other health professionals, and families.
- Optimized patient and family experience during emotionally challenging times.
- Facilitated timely, compassionate, and accurate information sharing.
Conclusions:
- The Difficult News Program enhances communication and optimizes the patient/family experience.
- Defined roles and teamwork improve the delivery of critical diagnostic information.
- Structured communication leads to better outcomes during difficult diagnostic moments.
Objective:
When an unexpected or significant diagnosis is made while imaging a child, the pediatric radiologist and support staff are placed in the middle of a life-changing event for the patient and family. The process by which this situation is handled can be quite variable in part because of the lack of a preexisting relationship between the pediatric radiologist and the patient and family. Therefore, we developed a program to improve effective communication of unexpected or significant diagnoses to families called the Difficult News Program.
Conclusion:
By defining and coordinating roles, the Difficult News Program improves communication between radiology staff and other health professionals and families and optimizes the patient and family experience during an emotional and difficult time. The defined roles and teamwork approach allow timely, compassionate, and accurate information to be shared with families.
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